Southfork Medical Clinic Pllc
NPI #1295718757 in Whitley City, Kentucky
Provider Information
- NPI Number
- 1295718757
- Entity Type
- Organization
- Organization Name
- Southfork Medical Clinic Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 29, 2005
- Last Updated
- Aug 23, 2011
Practice Location
- Address
- 71 MEDICAL LN
- City
- Whitley City
- State
- Kentucky
- ZIP Code
- 42653-4216
- Phone
- (606) 376-7212
Authorized Official
- Name
- FRANCIS PIMENTEL, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (606) 376-7212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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